Individual
LINDA L MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-1187
(207) 907-1189
Mailing address
900 BROADWAY, BANGOR, ME 04401-1900
(207) 907-1187
(207) 907-1189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81565
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432219699
—
ME
Enumeration date
08/31/2006
Last updated
07/03/2014
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